UC SAN DIEGO FOUNDATION (NPI# 1578965471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578965471 |
| Entity Type | Organization |
| Organization Name | UC SAN DIEGO FOUNDATION |
| Other Organization Name | UCSD STUDENT RUN FREE CLINIC PROJECT |
| Practice Address |
1420 3rd Ave San Diego CA 92101-3103 |
| Mailing Address |
9500 Gilman Dr La Jolla CA 92093-0696 |
| Practice Telephone | 8585346160 |
| Practice Fax Number | 8588223990 |
| Mailing Telephone | 8585346160 |
| Mailing Fax Number | 8588223990 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | DR. SUNNY D SMITH (CLINIC DIRECTOR) |
| Authorized Official Telephone | 8585346160 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UC SAN DIEGO FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UCSD Student Run Free Clinic Project | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639569098 | Uc San Diego Foundation | Clinic/Center | 4041 T St, San Diego, CA 92113-1808 | 2015-01-23 |
| 1598155962 | Uc San Diego Foundation | Clinic/Center | 1561 Thomas Ave, San Diego, CA 92109-4346 | 2015-01-23 |
| Street Address |
1420 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364904 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 5353 Mission Center Rd Ste 115, San Diego, CA 92108-1304 | 2019-03-08 |
| 1639569098 | Uc San Diego Foundation | Clinic/Center | 4041 T St, San Diego, CA 92113-1808 | 2015-01-23 |
| 1598155962 | Uc San Diego Foundation | Clinic/Center | 1561 Thomas Ave, San Diego, CA 92109-4346 | 2015-01-23 |
| 1982006573 | Caos, A Medical Corporation | Clinic/Center | 2655 Camino Del Rio, Suite #330, San Diego, CA 92108-1633 | 2014-09-25 |
| 1942616255 | Malchow Chiropractic Inc | Clinic/Center | 12145 Alta Carmel Ct, San Diego, CA 92128-3842 | 2014-07-08 |
| 1093157604 | Fluvaccine.org | Clinic/Center | 970 Turquoise St, Suite B, San Diego, CA 92109-1141 | 2013-07-24 |
| 1679760714 | Morteza Mirkarimi | Clinic/Center | 3058 Clairemont Dr, San Diego, CA 92117-6830 | 2007-10-03 |
| 1316978620 | John J. Doria | Clinic/Center | 3003 4th Ave, San Diego, CA 92103-5801 | 2006-07-05 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
| 1861969677 | Awesome Healing Acupuncture | Clinic/Center | 2535 Camino Del Rio S Ste 230, San Diego, CA 92108-3795 | 2018-10-30 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.